Individual
MUHAMMAD AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 847-5200
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301064175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195886
—
MI
Enumeration date
09/09/2005
Last updated
10/31/2013
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